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Editorial
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Volume 349:2157-2159 November 27, 2003 Number 22
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Nitric Oxide for Preemies — Not So Fast
Richard J. Martin, M.B., F.R.A.C.P.

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-Related Article
 by Schreiber, M. D.
-PubMed Citation
The past three decades have seen the emergence of neonatology as a vibrant subspecialty of pediatrics, highlighted by advances in the management of the respiratory distress syndrome in preterm infants. It is now widely accepted that surfactant deficiency is the biologic basis for neonatal respiratory distress syndrome and that a combination of antenatal corticosteroids, postnatal surfactant therapy, and effective ventilatory assistance is key to successful management. Historically, pulmonary ischemia was thought to be an underlying physiological mechanism for neonatal respiratory distress syndrome; it is now clear that residual fetal pulmonary hypertension, with resultant shunting of deoxygenated blood away from the . . . [Full Text of this Article]


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From Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland.


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